FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
GENERAL MEDICINE
PAPER-II
TIME: 3 HOURS MED/J/18/11/II
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part each part
containing 5 questions.
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. What are Paraneoplastic Syndromes? List the paraneoplastic
syndromes of the nervous system and discuss Lambert-
Eaton Myasthenic syndrome?
Tumour markers and their role in diagnosis and treatment of
malignancies.

2. Peripheral Blood Smear- Its diagnostic utility in medicine.
Clinical features, diagnosis and treatment of acute ITP.

3. Principles and procedure of Plasma Exchange and write about
its indications and complications.

4. Clinical features and management of Vitamin D overuse.
Clinical features, complications and treatment scorpion bite.

5. Non Invasive Ventilation.
Diagnosis, treatment and prevention of Ventilator Associated
Pneumonia.

6. Pathophysiology, clinical features, diagnosis, treatment and
complications of Dengue fever.

7. Clinical features and treatment of Parkinson's disease.
Causes, clinical features and treatment of Cortical Venous
Sinus Thrombosis.

8. Treatment of status epilepticus.
Clinical features and treatment of Guillain Barre Syndrome.

9. Nerve gases exposure clinical features and management
Clinical features, diagnosis and treatment of
Organophosphorus poisoning.

10. Etiology, clinical manifestation, diagnosis and treatment of
infective endocarditis.